| NPI | 1801084249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN SANFORD Optometrist/President 630-886-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4240) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-07-10 |